C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

You may navigate to our Authorised Distributors by selecting their hyperlink

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

You may navigate to our Authorised Distributors by selecting their hyperlink

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

You may navigate to our Authorised Distributors by selecting their hyperlink

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

You may navigate to our Authorised Distributors by selecting their hyperlink

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

Should you wish to make a purchase please contact one of our Authorised Distributors listed below. Please contact us if we can be of further assistance to you.

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

C-Pro Direct will ship directly to your country from the UK by tracked air freight, but you may prefer to contact one of the Authorised Distributors listed below. Please contact us if we can be of further assistance.

Please note that the Ukraine authorities will not allow goods into the country unless the recipient pays VAT of 20% and Duties of 10% of the value of the goods.

Please tick here to say you understand these charges will be applied. If you do not accept the charges and the goods are returned to C-Pro Direct, the cost of return will be deducted from any refund due.

Please provide any additional information about the intended ADM user that may impact on the spring strength we provide. If this box is completed we will contact you to discuss whether a lighter or stronger spring selection is advised.

Please provide any additional information about the intended ADM user that may impact on the spring strength we provide. If this box is completed we will contact you to discuss whether a lighter or stronger spring selection is advised.

These sandals are for use with the Ponseti AFO bar, regardless of the size of the bar (except preemie bars). Available from size 00 upwards.

The PFS sandal is designed to always hold the foot in either a neutral or a dorsiflexed position.

The sandals are used in conjunction with the standard Ponseti AFO Quick Clip system. As with the standard Ponseti AFO, the PFS holds the foot out at an angle to maintain the correction of the clubfoot.

The sandals are available in a range of sizes – see Specifications and Measurements. They can be ordered in split sizes where necessary.

The sandals must be worn with good fitting socks to prevent any sores or blisters. For ease of use the sandals are supplied with the buckles on the inside.

Ponseti AFO Abduction Brace: Advice for Parents

We have been using and working with the Ponseti AFO Abduction Brace for over eight years. Whilst not part of our formal Instructions for Use the following advice stems from practical experience, we hope you find it useful.

Follow the Bracing Protocol

Consistently follow the bracing protocol prescribed by your clinician. The Ponseti AFO Abduction Brace will not inhibit your child’s development. Providing the instructions are followed the brace will not cause discomfort to you child.

Even well corrected clubfeet have a tendency to relapse. Without a diligent follow-up bracing program, relapse occurs in more than 80% of cases. This is in contrast to a relapse rate of only 6% when there is compliance.

To learn more about the Ponseti Method consult the Global-HELP publication, Clubfoot: Ponseti Management: various authors, Editor: Lynn Staheli MD. This is available on the internet free of charge and has been translated into many languages.

Socks

The Ponseti AFOs should be worn with close fitting, smooth, cotton rich socks that extend beyond the top of the AFO. Purposely designed double-layered socks are available for use with the Ponseti AFO abduction brace. These socks minimise the risk of blisters and sores and are available from C-Pro Direct. Babies who have just completed plaster casting have particularly soft and sensitive skin.

Use smooth close fitting cotton rich socks. C-Pro Direct has created the Black Robin range especially for use with the Ponseti AFO abduction brace

Bedding

Blankets and sheets may become entangled in the Ponseti AFO and bar or they may kick off their bedding during sleep. Be vigilant and ensure your baby is both safe and comfortable. Baby sleeping bags (Sleep Sacks) may be used providing they fit correctly.

Stretching the Achilles and Calf Muscles

Try daily stretching of the Achilles tendon and calf muscles to maintain and improve dorsiflexion. This is particularly important between the ages of 2 to 7 years when there is rapid growth. The best type of stretch is achieved by standing your child on a sloping surface. You can make a slant board at home or you might like to try Dorsiflexion Ramp, which is available at C-Pro Direct. Try to incorporate use of the ramp with a daily routine, such as teeth cleaning or playing on a computer.

To maintain good dorsiflexion incorporate stretching into your child’s daily routine. The Dorsi Ramp can help.

Measurements Table and Sizing Guide

The size shown is for the length of the foot. The length of the foot is measured from the sole of the heel to the tip of the big toe.

If you are unsure of your child’s measurement, please download this free sizing guide. When printing, please make sure you select the option ‘Actual size’ in the printing screen.

Foot Length mm

Foot Width mm

Sandal Size

60 to 62

25 to 40

Preemie 1

63 to 66

30 to 45

Preemie 2

67 to 70

33 to 48

0000

71 to 75

30 to 55

000

76 to 80

30 to 55

00

81 to 87

30 to 60

0

88 to 92

35 to 60

1

93 to 102

38 to 65

2

103 to 112

45 to 70

3

113 to 122

47 to 70

4

123 to 132

48 to 70

5

133 to 142

50 to 75

6

143 to 152

55 to 80

7

153 to 162

67 to 82

8

163 to 172

70 to 85

9

173 to 182

74 to 89

10

183 to 192

77 to 92

11

193 to 202

80 to 95

12

Please note:

Coloured sandals are available from Preemie 1 up to and including size 6.

PFS sandals are available from size 00 up to and including size 12.

Toe Stilt sandals are available from size 2 up to and including size 8.

Bars:

There are 3 sizes of bar available:

Extra Short: (173mm – 250mm)

Short: (200mm – 300mm)

Long: (235mm – 378mm)

Specifications

Our products are class 1 medical devices and carry the CE mark. High quality baby friendly materials are used that have been tested for toxicity and comply with US and European regulations. Our products do not contain latex rubber.

Item

Material

AFO inner liners and pressure saddles

Thermoplastic Elastomer (TPE)

AFO sole

Acrylonitrile Butadiene Styrene (ABS)

Rivets and buckles

Nickel Plated Brass

Gauntlet (leather like AFO outer)

Non-woven synthetic suede - 65% nylon; 35% polyurethane

Straps

During 2013 the material used for the straps will change from leather (Apron Split Cow Hide) to synthetic suede - 65% nylon; 35% polyurethane

Bars

During 2013 the bars will change from Aluminium to anodised steel.

Further materials data is available from C-Pro Direct. Please contact us if you require more details.

Step 6 – Buckle Top Strap(s)

Step 7 – Check Bar Width

Check the width of the bar is shoulder width. If needed, adjust the bar by loosening the two screws in the connector using the allen wrench. Ensure the connector is positioned centrally, adjust and tighten just enough to stop the bar length from changing.

Step 8- Check Abduction

Check the abduction angle of the bar. This is usually 30 degrees for a non-clubfoot and 60 degrees for the clubfoot. However, this must be agreed and directed by your clinician. To change the angle, you need to take out the outer screw on the dial completely and loosen the middle screw so that the dial is movable. Turn the dial to the desired angle, tighten the middle screw and put the outer screw back in.

Removal

Warnings and Precautions

Use only in accordance with these instructions and as directed by your clinician.Consult your clinician immediately if the patient is experiencing any pain, blisters or sores or if the AFO is slipping on the patient’s foot.Do not bend the bar or allow children to walk with the bar attached. Bending of the bar may compromise therapeutic value and lead to breakage in use, which may cause harm to the patient.Do not over tighten adjusting screws.Do not use brace if any part of the Ponseti AFO is not in good condition or does not correctly fit the patient.Clean AFOs and Bars using warm water only, avoid wetting the suede like gauntlet and straps.Consult C-Pro Direct for further details.

Warranty, Replacements and Returns

We aim to provide the highest service levels for all of our customers. If the merchandise you received is defective or not as you ordered, please contact us for a quick resolution.Broken Sandal (within 6 months of wear): Free of charge replacement sandals will be provided if there is a manufacturing defect, or if any part of the sandal becomes damaged through normal use.Broken Sandal (after 6 months of wear): If a sandal breaks or becomes damaged through normal use and has been in use for more than 6 months then we require a new foot measurement to be taken to ensure that the current size is still appropriate for the child. If the current size is still appropriate a free of charge replacement will be provided.Broken Bar, Quick Clip, Heel Cap or Collar: A free of charge replacement will be provided if the bar or any part of the bar is broken or damaged through normal use in accordance with these instructions. Note: The product is for naptime and nightime use only. Walking in the Ponseti AFO can damage the bar and wear the heel caps. Replacement heel caps are available on request.Incorrect Size: Please notify us within 7 days of receipt. Provided the product is returned in a re-saleable condition then a replacement of the correct size will be provided free of charge.Unwanted Product: If you are dissatisfied and request a refund these guidelines must be followed in order to receive a full credit: Products must be in new, re-saleable, unmarked condition and in original packaging.The products must be returned within 30 days of invoice date.

Exceptions

This policy and warranty is non transferable. The warranty is voided if the products are amended or altered in anyway, misused, or if they are not used in accordance with these instructions. Ponseti AFOs are for use only with Ponseti abduction bars and Ponseti abduction bars are for use only with Ponseti AFOs. Please contact us if you experience problems not outlined in this policy. Atypical matters will be handled on a case by case basis.